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  5. JOEL A BERLEY DMD PA

JOEL A BERLEY DMD PA

Company Details

Entity Name: JOEL A BERLEY DMD PA
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 23 Jul 2014 (11 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 28 Mar 2023 (2 years ago)
Document Number: P14000062034
FEI/EIN Number 47-1526151
Address: 201 NW 70th Ave, STE A, PLANTATION, FL 33317
Mail Address: 201 NW 70th Ave, STE A, PLANTATION, FL 33317
ZIP code: 33317
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841719028 2017-09-19 2022-07-21 7500 NW 5TH ST STE 105, PLANTATION, FL, 333171612, US 7500 NW 5TH ST STE 105, PLANTATION, FL, 333171612, US

Contacts
Phone +1 954-792-5544
Fax 9545876442

Authorized person
Name ANGELIKA ROE
Role CREDENTIALING & CONTRACTING
Phone 9547925544

Taxonomy
Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JOEL A BERLEY DMD 401(K) PLAN 2018 471526151 2019-10-08 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317
JOEL A BERLEY DMD DEFINED BENEFIT PLAN 2018 832688874 2019-10-08 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317
JOEL A BERLEY DMD 401(K) PLAN 2017 471526151 2018-08-27 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317
JOEL A BERLEY DMD DEFINED BENEFIT PLAN 2017 471526151 2018-08-27 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317
JOEL A BERLEY DMD DEFINED BENEFIT PLAN 2016 471526151 2017-08-24 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317
JOEL A BERLEY DMD 401(K) PLAN 2016 471526151 2017-08-24 JOEL A BERLEY DMD PA 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621210
Sponsor’s telephone number 9547925544
Plan sponsor’s address 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317

Agent

Name Role Address
BERLEY, JOEL A Agent 201 NW 70th Ave, STE A, PLANTATION, FL 33317

President

Name Role Address
BERLEY, JOEL A President 201 NW 70th Ave, STE A PLANTATION, FL 33317

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000058112 PLANTATION ORAL SURGERY EXPIRED 2018-05-11 2023-12-31 No data 7500 NW 5TH STREET, SUITE 105, PLANTATION, FL, 33317

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-03-28 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-28 201 NW 70th Ave, STE A, PLANTATION, FL 33317 No data
CHANGE OF MAILING ADDRESS 2023-03-28 201 NW 70th Ave, STE A, PLANTATION, FL 33317 No data
REGISTERED AGENT NAME CHANGED 2023-03-28 BERLEY, JOEL A No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-28 201 NW 70th Ave, STE A, PLANTATION, FL 33317 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
REINSTATEMENT 2023-03-28
ANNUAL REPORT 2020-01-24
ANNUAL REPORT 2019-04-05
ANNUAL REPORT 2018-02-13
ANNUAL REPORT 2017-01-25
ANNUAL REPORT 2016-03-02
ANNUAL REPORT 2015-04-29
Domestic Profit 2014-07-23

Related by officers

BERLEY, JOEL A

JBDT PROPERTIES, LLC KEBER INVESTMENTS, LLC PLANTATION MEDICAL & DENTAL CENTER, LLC

Related by address

No related companies by address

Date of last update: 21 Jan 2025

Sources: Florida Department of State

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